{"id":2107,"date":"2020-08-19T13:44:04","date_gmt":"2020-08-19T13:44:04","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmjebmspotlight\/?p=2107"},"modified":"2020-09-03T11:35:01","modified_gmt":"2020-09-03T11:35:01","slug":"honey-for-coughs-and-colds-not-too-shab-bee","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmjebmspotlight\/2020\/08\/19\/honey-for-coughs-and-colds-not-too-shab-bee\/","title":{"rendered":"Honey for coughs and colds: not too shab-bee"},"content":{"rendered":"<p>Blog entry written on: <a href=\"https:\/\/ebm.bmj.com\/content\/early\/2020\/07\/28\/bmjebm-2020-111336\">Effectiveness of honey for symptomatic relief in upper respiratory tract infections: a systematic review and meta-analysis<\/a> (bmjebm-2020-111336)<\/p>\n<p><em>Author: Hibatullah Abuelgasim<\/em><\/p>\n<hr \/>\n<p>Honey is a folklore favourite when it comes to cough and cold remedies. Everyone who has ever had a cold knows how annoying the symptoms can be. Unfortunately, there\u2019s not much a doctor can give you for them. Evidence shows that <a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD001831.pub5\/full\">over-the-counter medications<\/a> and <a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD000247.pub3\/full\">antibiotics<\/a> are not effective for symptoms of coughs and colds (known as \u2018upper respiratory tract infections\u2019). A quick Google search, however, turns up numerous articles recommending honey as a natural symptom-reliever.<\/p>\n<p>But is this fact, or fiction? Is there any evidence that honey actually does improve cough and cold symptoms?<\/p>\n<p>We designed our study, \u201cThe effectiveness of honey for symptomatic relief in upper respiratory tract infections: A systematic review and meta-analysis\u201d, to answer this question. We analysed studies comparing honey to placebo, and to \u2018usual care\u2019, which included a number of over-the-counter medications. We found that for combined symptoms, cough frequency and cough severity, honey is actually better than usual care.<\/p>\n<p>A previous <a href=\"https:\/\/www.cochranelibrary.com\/cdsr\/doi\/10.1002\/14651858.CD007094.pub5\/full\">study<\/a> had evaluated the use of honey for acute cough in children, concluding that honey is likely better than some other treatments or placebo. To differentiate our review, we looked at studies including:<\/p>\n<ul>\n<li>both adults and children<\/li>\n<li>any symptoms of upper respiratory tract infections (although the majority did focus on cough)<\/li>\n<li>honey administered in any way (e.g. neat, dissolved in water, mixed with milk)<\/li>\n<\/ul>\n<p>The result was a wider-scoping review, but the trade-off was that some studies we included differed greatly, which meant that our conclusions could not be as strong. We also could not recommend a particular \u2018dose\u2019 or \u2018route\u2019 for taking honey, as we included so many different formulations.<\/p>\n<p>Our findings are exciting, for a few reasons. Upper respiratory tract infections, like coughs and colds, are the <a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(05)17907-0\/fulltext\">biggest cause of antibiotic prescribing in general practice<\/a>, partly because GPs like to be able to offer something to their patients \u2013 which makes sense! But, as the majority of upper respiratory tract infections are caused by viruses, antibiotic prescribing is not effective. What\u2019s more, antibiotic overprescribing drives antimicrobial resistance, which may become a significant barrier to treating infections in the future.<\/p>\n<p>The results of our study enable doctors to be able to offer a patient something for their cough and cold symptoms, without increasing the use of unnecessary antibiotics. Although we did not look specifically at adverse effects, as honey is a foodstuff, it\u2019s safe. The exception is in children under the age of 1 year, as there is a risk of botulism. Honey is also fairly cheap and widely available.<\/p>\n<p>So, the next time you have a cold, some honey might help you get your buzz back!<\/p>\n<hr \/>\n<p><strong>Author:<\/strong> Hibatullah Abuelgasim<\/p>\n<figure id=\"attachment_2108\" aria-describedby=\"caption-attachment-2108\" style=\"width: 247px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/blogs.bmj.com\/bmjebmspotlight\/files\/2020\/08\/BMJ-EBM-blog-thumbnail-scaled.jpeg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-2108\" src=\"https:\/\/blogs.bmj.com\/bmjebmspotlight\/files\/2020\/08\/BMJ-EBM-blog-thumbnail-247x300.jpeg\" alt=\"Author: Hibatullah Abuelgasim\" width=\"247\" height=\"300\" srcset=\"https:\/\/blogs.bmj.com\/bmjebmspotlight\/files\/2020\/08\/BMJ-EBM-blog-thumbnail-247x300.jpeg 247w, https:\/\/blogs.bmj.com\/bmjebmspotlight\/files\/2020\/08\/BMJ-EBM-blog-thumbnail-843x1024.jpeg 843w, https:\/\/blogs.bmj.com\/bmjebmspotlight\/files\/2020\/08\/BMJ-EBM-blog-thumbnail-768x932.jpeg 768w, https:\/\/blogs.bmj.com\/bmjebmspotlight\/files\/2020\/08\/BMJ-EBM-blog-thumbnail-1265x1536.jpeg 1265w, https:\/\/blogs.bmj.com\/bmjebmspotlight\/files\/2020\/08\/BMJ-EBM-blog-thumbnail-1687x2048.jpeg 1687w, https:\/\/blogs.bmj.com\/bmjebmspotlight\/files\/2020\/08\/BMJ-EBM-blog-thumbnail-640x777.jpeg 640w\" sizes=\"auto, (max-width: 247px) 100vw, 247px\" \/><\/a><figcaption id=\"caption-attachment-2108\" class=\"wp-caption-text\">Author: Hibatullah Abuelgasim<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p><strong>Short bio:<\/strong> Hibatullah is a medical student at the University of Oxford Medical School.<\/p>\n<p><strong>COI:<\/strong> Co-author of \u201cThe effectiveness of honey for symptomatic relief in upper respiratory tract infections: A systematic review and meta-analysis\u201d, along with Charlotte Albury and Joseph Lee. Joseph Lee is a hobby beekeeper. No other conflicts of interest.<\/p>\n<hr \/>\n<p><b>DISCLAIMER<\/b><\/p>\n<p><span style=\"font-weight: 400\">The views and opinions expressed on this site are solely those of the original authors. They do not necessarily represent the views of the BMJ and should not be used to replace medical advice. All information on this blog is for general information, is not peer-reviewed, requires checking with original sources and should not be used to make any decisions about healthcare. No responsibility for its accuracy and correctness is assumed by us, and we disclaim all liability and responsibility arising from any reliance placed on such commentary or content by any user or visitor to the Website, or by anyone who may be informed of any of its content. Any reliance you place on the material posted on this site is therefore strictly at your own risk.<\/span><\/p>\n<p>&nbsp;<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Blog entry written on: Effectiveness of honey for symptomatic relief in upper respiratory tract infections: a systematic review and meta-analysis (bmjebm-2020-111336) Author: Hibatullah Abuelgasim Honey is a folklore favourite when it comes to cough and cold remedies. Everyone who has ever had a cold knows how annoying the symptoms can be. Unfortunately, there\u2019s not much [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmjebmspotlight\/2020\/08\/19\/honey-for-coughs-and-colds-not-too-shab-bee\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":2109,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14375,14351,14358,14367],"tags":[],"class_list":["post-2107","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bmj-ebm-spotlight","category-ebm","category-infection","category-respiratory_pulmonary"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Honey for coughs and colds: not too shab-bee - BMJ EBM Spotlight<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmjebmspotlight\/2020\/08\/19\/honey-for-coughs-and-colds-not-too-shab-bee\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Honey for coughs and colds: not too shab-bee - BMJ EBM Spotlight\" \/>\n<meta property=\"og:description\" content=\"Blog entry written on: Effectiveness of honey for symptomatic relief in upper respiratory tract infections: a systematic review and meta-analysis (bmjebm-2020-111336) Author: Hibatullah Abuelgasim Honey is a folklore favourite when it comes to cough and cold remedies. 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Everyone who has ever had a cold knows how annoying the symptoms can be. 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